Individual provider Active NPI

Rezwan Hossain Chowdhury, MD

  • Radiation Oncology Physician
  • Tempe, AZ
National Provider Identifier
1629379565
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
42880 Issued in AZ
Practice address
7695 S Research Dr
Tempe, AZ 85284-1812
Phone
(480) 256-1664
Fax
(480) 726-1854
NPI assigned
Nov 9, 2010
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 42880 AZ Primary

Addresses

Primary practice location

7695 S Research Dr
Tempe, AZ 85284-1812

Mailing address

14155 N 83Rd Ave
Peoria, AZ 85381-5639
Phone (623) 773-2873

Other identifiers 5

IdentifierTypeStateIssuer
4663668OtherAZCIGNA
QMX000000087947OtherAZMERCY CARE
578682MedicaidAZ
DE8713OtherAZRAILROAD MEDICARE
9650586OtherAZAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000899 AZ Practitioner - Radiation Oncology 8527256163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3645 S Rome St
Suite 116
Gilbert, AZ 85297-7337
Phone (480) 278-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42880AZMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Oct 20, 2021 Accepting new patients
Arizona Center for Hematology and Oncology, PLC CurrentSince Oct 20, 2021 Accepting new patients
Arizona Center for Hematology and Oncology PLC Radiation Oncology Current Accepting new patients
Arizona Cancer Specialists PLC Radiation Oncology Past Accepting new patients
Arizona Oncology Services Inc Radiation Oncology Past Accepting new patients

Locations

3645 S Rome St
Ste 116
Gilbert, AZ 85297
Phone (480) 278-8300

14155 N 83rd Ave
Ste 127
Peoria, AZ 85381
Phone (623) 773-2873

20950 N 29th Ave
#C1
Phoenix, AZ 85027

2222 E Highland Ave
Ste 130
Phoenix, AZ 85016
Phone (602) 283-2345

10460 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 278-8300

7337 E 2nd St
Scottsdale, AZ 85251
Phone (480) 712-8741

7695 S Research Dr
Tempe, AZ 85284
Phone (480) 256-1664

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1629379565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815639",
            "telephone_number": "623-773-2873",
            "fax_number": "234-144-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 S RESEARCH DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841812",
            "telephone_number": "480-256-1664",
            "fax_number": "480-726-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWDHURY",
        "first_name": "REZWAN",
        "middle_name": "HOSSAIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "42880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4663668",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE",
            "identifier": "QMX000000087947",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "578682",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE8713",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9650586",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.